STACEY WATSON (NPI# 1255718854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255718854 |
| Entity Type | Individual |
| Full Name | STACEY WATSON |
| Credential | M.S. |
| Practice Address |
3292 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 6163658920 |
| Practice Fax Number | 6163658971 |
| Mailing Telephone | 6163658920 |
| Mailing Fax Number | 6163658971 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | 7101005811 | MI | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 146.013153 | IL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 445 W Wellington Ave, 10f, Chicago, IL 606575856 | 6168264456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025110 | Stacey Leann Watson | Speech-Language Pathologist | 1424 Red Dr, Little Elm, TX 75068-3429 | 2017-10-30 |
| 1871800953 | Stacey L Watson | Licensed Practical Nurse | 6649 W Bancroft St, Apt. 165 U, Toledo, OH 43615-3161 | 2010-09-10 |
| 1790268225 | Stacey Watson | Registered Nurse | 975 Kingsview Dr Bldg A, Lebanon, OH 45036-9562 | 2018-09-11 |
| 1750622007 | Stacey S Watson | Behavioral Analyst | 3339 Kidd St, North Las Vegas, NV 89032-7737 | 2013-03-12 |
| 1326315110 | Stacey Lynn Watson | Occupational Therapist | 611 N Main St, Wilber, NE 68465-2500 | 2011-11-21 |
| 1972629434 | Stacey Burrack Watson | Counselor | 415 W Golf Rd Ste 16, Arlington Heights, IL 60005 | 2007-03-22 |
| 1184762130 | Stacey D Watson | Audiologist | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2007-02-02 |
| 1003926049 | Stacey Watson | Internal Medicine | 8450 N 32nd St, Richland, MI 49083-9418 | 2006-08-30 |
| Street Address |
3292 N EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992943757 | Carrie Zinser | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525 | 2009-01-30 |
| 1144854290 | Stefany Tucker | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-27 |
| 1922630789 | Katherine Shannon | Psychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-10 |
| 1598397341 | Kelly Cramer | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-10 |
| 1144851452 | Sean Crowell | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-01-27 |
| 1295297240 | Brianna Kuhatschek | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2019-04-01 |
| 1043786023 | Renee Orr | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-17 |
| 1346725850 | Bailey Palladino | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-01 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1932605557 | Sarah Wright | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1912517244 | Kailey Nicole Jo | Speech-Language Pathologist | 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546-2379 | 2020-08-02 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1033740543 | Lauramarie Andres Schubert | Speech-Language Pathologist | 35 Michign St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-02-03 |
| 1245873884 | Jonathan Tyler Ritchie | Speech-Language Pathologist | 1912 Concord Ave Se, Grand Rapids, MI 49506-4653 | 2019-10-27 |
| 1386295392 | Emily Ruth Otten | Speech-Language Pathologist | 1425 Bemis St Se, Grand Rapids, MI 49506-2752 | 2019-09-23 |
| 1336797786 | Sydney E Carlson | Speech-Language Pathologist | 421 Benson Ave Ne Apt 2109, Grand Rapids, MI 49503-0026 | 2019-08-29 |
| 1285289413 | Chelsea Lauryn Noorman | Speech-Language Pathologist | 155 Indiana Ave Nw, Grand Rapids, MI 49504-5664 | 2019-08-05 |
| 1811556343 | Nicole L Nicolas | Speech-Language Pathologist | 2019 Wealthy St Se Apt 2, Grand Rapids, MI 49506-3011 | 2019-06-09 |
| 1922560911 | Amy Morgan Linde | Speech-Language Pathologist | 270 Henry Ave Se, Grand Rapids, MI 49503-4711 | 2019-04-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on STACEY WATSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.